Bartholin Gland Cysts: Symptoms, Healing, and Sexual Activity Guidelines

Bartholin's gland cyst

Hello, Doctor.

1.
Should I avoid sexual arousal and refrain from any sexual activity while not fully healed (with no pain, a reddish swollen lump, and white raised areas the size of a grain of rice)?
2.
Will healing result in a complete return to the original state (becoming flat and returning to the original skin color)?
3.
Are sexual activities (such as fondling and oral sex) the primary cause of the condition?
4.
After taking antibiotics for a week, the doctor only prescribed an ointment and did not advise a follow-up visit.
Should I apply the ointment and wait for it to heal on its own? (From mid-July until now) I apologize for the many questions; this is my first time encountering this situation...
Thank you for your guidance.
(Bows)

w, 20~29 year old female. Ask Date: 2017/07/27

Dr. Huang Jianzhong reply Obstetrics and Gynecology

1.
Should sexual arousal be avoided and all sexual activity prohibited if there is still no healing (absence of pain, reddish swollen lump, white raised grain-sized spots)? Ans: Normal sexual activity can resume one month post-surgery.

2.
Will the healing process result in a complete return to the original state (becoming flat and returning to the original skin color)? Ans: Generally, complete restoration (becoming flat and returning to the original skin color) takes three to six months.

3.
Are sexual activities (foreplay, oral sex) the primary cause of complications? Ans: Bacterial infection.

4.
After taking antibiotics for a week, and the doctor only prescribed an ointment without advising a follow-up visit, is it acceptable to apply the ointment and wait for self-healing? (From mid-July to now) Ans: Yes.

Reply Date: 2017/07/27

More Info

Hello! Thank you for your questions regarding Bartholin gland cysts. I understand that dealing with this condition can be concerning, and I’m here to provide you with comprehensive information.

1. Avoiding Sexual Activity: It is generally advisable to avoid any sexual activity, including activities that may lead to sexual arousal, while you have a Bartholin gland cyst that is not fully healed. Even if the cyst is not painful, engaging in sexual activities can potentially irritate the area, leading to inflammation or infection. The cyst may also be sensitive, and any form of friction or pressure could exacerbate the condition. Therefore, it is best to wait until the cyst has completely healed and your healthcare provider has given you the green light to resume sexual activities.

2. Healing and Recovery: In most cases, once a Bartholin gland cyst heals, it can return to its normal state. This means that the area should become flat and return to its original skin color. However, healing can vary from person to person. Some individuals may experience a complete resolution of the cyst, while others may have residual changes in the skin or tissue. If you notice any persistent changes or if the cyst reoccurs, it is important to follow up with your healthcare provider for further evaluation.

3. Causes of Bartholin Gland Cysts: Sexual activity, including activities like intercourse or oral sex, is not typically considered the primary cause of Bartholin gland cysts. These cysts often develop when the duct of the gland becomes blocked, which can occur due to various reasons, including infection, inflammation, or trauma. While sexual activity may contribute to irritation or inflammation, it is not usually the direct cause of the cyst itself. Maintaining good hygiene and being aware of any changes in your body can help in managing the condition.

4. Use of Antibiotics and Topical Treatments: If you have been prescribed antibiotics for a week and your healthcare provider has now recommended a topical ointment without scheduling a follow-up appointment, it is generally safe to apply the ointment as directed. The ointment is likely intended to help reduce inflammation or prevent infection. It is important to follow the instructions provided by your healthcare provider regarding the application of the ointment. If you notice any worsening of symptoms, such as increased pain, swelling, or discharge, it is crucial to contact your healthcare provider for further advice.

In summary, it is best to avoid sexual activity until the cyst has fully healed, and you should expect that the area will return to its normal state after healing. While sexual activity is not a primary cause of Bartholin gland cysts, it is wise to be cautious. Continue to use the prescribed ointment as directed, and monitor your symptoms closely. If you have any concerns or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further guidance.

Take care, and I hope you find this information helpful!

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